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Prevalence of Diabetic Retinopathy in Iran: A Systematic Review and Meta-Analysis Publisher



Maroufizadeh S1 ; Almasihashiani A1 ; Hosseini M2 ; Sepidarkish M1 ; Omani Samani R1
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Authors Affiliations
  1. 1. Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, 16635-148, Iran
  2. 2. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, 14155-6446, Iran

Source: International Journal of Ophthalmology Published:2017


Abstract

AIM: To estimate the overall prevalence of diabetic retinopathy (DR) in Iran by a systematic review and Metaanalysis. METHODS: We conducted a search of all published literature on diabetic patients for the prevalence of DR using Web of Sciences, PubMed, Scopus, Google Scholar, and national electronic databases SID, Magiran, and Iranmedex from their inception until September 2016 with standard keywords. Pooled estimates of the DR prevalence and the corresponding 95% confidence intervals (CI) were calculated using random effects models. RESULTS: Thirty-one studies involving 23 729 patients with type I and II diabetes were included. The publication bias assumption for prevalence of DR was rejected by Begg and Egger tests (P=0.825, P=0.057, respectively). The results of Cochran test and I2 statistics showed considerable heterogeneity for prevalence of DR (Q=1278.21, d.f.=30, P<0.001 and I2=97.7%). The prevalence of DR, non-proliferative diabetic retinopathy (NPDR) and proliferative diabetic retinopathy (PDR) in Iranian diabetic patients were 41.9% (95% CI: 35.6-48.2), 32.2% (95% CI: 28.7-35.8), and 13.2% (95% CI: 8.3-18.1), respectively. CONCLUSION: The prevalence of DR in Iran appears a little high. NPDR was more common. This study highlights the necessity for DR screening and management in diabetic patients in Iran. © 2017, International Journal of Ophthalmology (c/o Editorial Office). All rights reserved.
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